Highlands Rehabilitation and Healthcare LLC
Organization Active NPI Skilled Nursing Facility · Laporte, PA
NPI 1215796404 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1215796404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- HIGHLANDS REHABILITATION AND HEALTHCARE LLC
- Practice address
- 918 Main St
Laporte, PA 18626-7007 - Phone
- (570) 946-7700
- NPI assigned
- Mar 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Efraim Klein
- Title
- Authorized Official
- Phone
- (570) 946-7700
Owners & managing parties with NPI records 1
-
Brandon M Roscoe, M.D.
Facilities with the same owner 8
Practitioners 2
-
Kasey Mastellar, PT, DPT
-
Brandon M Roscoe, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Highlands Rehabilitation and Healthcare
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 16, 1985
- Medicare certification status
- Active
- Certified beds
- 120 · 105.3 residents per day on average
- Chain
- Century Healthcare
- Penalties (3 years)
- 1 · fines totaling $0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Skilled nursing facility certification: CCN 395683
- Legal name
- HIGHLANDS REHABILITATION AND HEALTHCARE LLC
- Doing business as
- HIGHLANDS REHABILITATION AND HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 16, 1985
- Last certification
- Jan 16, 2025
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Enrollment address
- 918 Main St
Laporte, PA 18626-7007 - Nursing home name
- HIGHLANDS REHABILITATION AND HEALTHCARE
- Affiliated entity
- CENTURY HEALTHCARE
All disclosed owners & managing parties 32
| Name | Role | Since | Share |
|---|---|---|---|
| |
Adp of the SNF | Jun 26, 2025 | |
| Century V TBD Holdco LLC |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 100% |
| |
Indirect Ownership Interest | May 1, 2023 | 4.99% |
| |
Indirect Ownership Interest | May 1, 2023 | 4.99% |
| |
Indirect Ownership Interest | Apr 1, 2024 | 4.99% |
| Shai Berdugo |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 60.55% |
| Operational/Managerial Control | Apr 1, 2025 | ||
| Managing Control - Governing Body |
Apr 1, 2025 | ||
| Trustee of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Apr 1, 2025 | ||
| |
Indirect Ownership Interest | Apr 1, 2024 | 4.99% |
| |
Indirect Ownership Interest | Apr 1, 2024 | 1.5% |
| |
Indirect Ownership Interest | Apr 1, 2024 | 2.91% |
| Omega Healthcare Investors Inc |
Adp of the SNF | Apr 1, 2024 | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 1% |
| |
Adp of the SNF | Apr 1, 2024 | |
| Gina Berdugo |
Trustee of the SNF | Apr 1, 2024 | |
| Ohi Asset (PA), LP |
5% Or Greater Security Interest | Apr 1, 2024 | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 11.5% |
| Abigail Potts |
Operational/Managerial Control | Apr 23, 2024 | |
| Adp of the SNF | Jun 26, 2025 | ||
| |
Trustee of the SNF | Apr 1, 2024 | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 1% |
| Century V Pennsylvania Holdco LLC |
5% Or Greater Direct Ownership Interest | Apr 1, 2024 | 100% |
| Kulanu Oc Trust |
5% Or Greater Indirect Ownership Interest | Apr 1, 2024 | 5% |
| |
Adp of the SNF | Apr 1, 2024 | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 1.5% |
| Brandon M Roscoe |
Operational/Managerial Control | Jun 1, 2024 | |
| Adp of the SNF | Jun 26, 2025 | ||
| |
Indirect Ownership Interest | May 1, 2023 | 4.99% |
| |
Trustee of the SNF | Apr 1, 2024 | |
| |
Adp of the SNF | Mar 4, 2025 | |
| |
Direct Ownership Interest | Mar 4, 2025 | 100% |
| |
Trustee of the SNF | Apr 1, 2024 | |
| |
Indirect Ownership Interest | Apr 1, 2024 | 1.5% |
| |
Trustee of the SNF | Apr 1, 2024 | |
| Efraim Klein |
5% Or Greater Indirect Ownership Interest |
Apr 1, 2024 | 10% |
| Corporate Officer |
Apr 1, 2024 | ||
| |
Trustee of the SNF | Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240531001889 | PA | Part a Provider - Skilled Nursing Facility | 4981046232 | Practice locations: Laporte, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
918 Main St
Laporte, PA 18626-7007
Mailing address
575 Route 70
Brick, NJ 08723-4042
Other providers in Laporte, PA
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Luanne Cusatis
- Bethany Suzanne Genevro
- Guardian Elder Care at Laporte LLC
- Andrea Lynn Jensen
- Laporte Borough Volunteer Fire Comp
- Eric Warren Longenbach
- Kasey Mastellar
- Mental Health Associates of North Central PA
All providers in Laporte, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.